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General NPI Number Information
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NPI Number | 1972806040
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Entity Type | Individual
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Provider Name | ZHUANG JUN BCBA
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Gender | Male
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Dates
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Enumeration Date | 12/13/2010
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Last Update Date | 12/28/2010
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Provider Practice Location Address
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Address Line | 161 ROSETTE DR
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-7123
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Country | US
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Telephone | 407-327-9987
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Fax | 407-327-9987
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Provider Business Mailing Address
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Address Line | 161 ROSETTE DR
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-7123
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Country | US
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Telephone | 407-327-9987
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Fax | 407-327-9987
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-00-0306
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License Number State |
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